How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $177.83 | Professional | None | $97.72 | $144.54 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $181.97 Typical High $251.19 | Facility | None | $102.33 | $181.97 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $354.81 | Professional | None | $141.25 | $199.53 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $346.74 | Professional | None | $218.78 | $269.15 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $7,943.28 | Facility | None | $169.82 | $245.47 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $275.42 | Professional | None | $104.71 | $169.82 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $263.03 | Facility | None | $144.54 | $223.87 | $263.03 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $281.84 | Facility | None | $141.25 | $194.98 | $281.84 |
Providence Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $354.81 | Professional | None | $114.82 | $218.78 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Facility | None | $776.25 | $1,023.29 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None | $218.78 | $257.04 | $316.23 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $363.08 | Professional | None | $138.04 | $204.17 | $363.08 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | 54 · Surgery only | $100.00 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $102.33 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $93.33 | $102.33 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | 54 · Surgery only | $109.65 | $109.65 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $102.33 | $102.33 | $120.23 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 9th of 51
$219
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.